Provider Demographics
NPI:1942428024
Name:STEWART, FAITH ASHLEY (MD)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:ASHLEY
Last Name:STEWART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7000 BRYANT IRVIN RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4251
Mailing Address - Country:US
Mailing Address - Phone:817-882-6338
Mailing Address - Fax:817-759-9808
Practice Address - Street 1:7000 BRYANT IRVIN RD
Practice Address - Street 2:STE 100
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4251
Practice Address - Country:US
Practice Address - Phone:817-882-6338
Practice Address - Fax:817-759-9808
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN9307207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology